Imaging prices at Centinela Hospital Medical Center
Inglewood, CA · every code in this section with a posted price and a Medicare benchmark.
337 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$1,771 | $5,019–$6,295 | 1.0× |
| Abdomen 1 View (74018) | $111 | $600 | 1.0× |
| Abdomen 2 views (74019) | $133 | $555.95 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $511 | $1,981 | 1.0× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$4,041 | $2,461–$7,478.22 | 1.0× |
| Angio pulmonary bilat (75743) | $4,041 | $7,478.22 | 1.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,041 | $2,542 | 1.0× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$4,041 | $7,478.22–$10,046.80 | 1.0× |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$4,041 | $7,478.22–$8,505.98 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$4,041 | $7,478.22–$7,924.56 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,041 | $3,031 | 1.0× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$111 | $247–$474 | 1.0× |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$7,121 | $2,461–$12,794.90 | 1.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,041 | $7,478.22 | 1.0× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$7,121 | $2,461–$13,129.60 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) | $4,041 | $2,461 | 1.0× |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$7,121 | $1,802–$13,129.60 | 1.0× |
| Artery X-Rays Spine (75705) | $7,121 | $2,461 | 1.0× |
| Arthrogram ankle (73615) | $446 | $1,369.11 | 1.0× |
| Arthrogram hip (73525) | $446 | $1,369.11 | 1.0× |
| Arthrogram Wrist (73115) | $446 | $758.22 | 1.0× |
| Basic radiation dosimetry calculation (77300) | $172 | $980 | 1.0× |
| Bone Imaging 3 Phase (78315) | $511 | $2,384 | 1.0× |
| Bone Imaging Limited Area (78300) | $511 | $1,325 | 1.0× |
| Bone Imaging Whole Body (78306) | $511 | $2,217 | 1.0× |
| Bone marrow imaging limited area (78102) | $511 | $1,325 | 1.0× |
| Bone marrow imaging; whole body (78104) | $511 | $2,217 | 1.0× |
| Bone survey infant (77076) | $133 | $688 | 1.0× |
| Brain Flow Imaging Only (78610) | $694 | $1,528 | 1.0× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$111 | $614–$876 | 1.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $694 | $1,359.24 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $694 | $1,474 | 1.0× |
| Chest 1 view (71045) | $111 | $600 | 1.0× |
| Chest 2 views (71046) | $111 | $656 | 1.0× |
| Chest 3 views (71047) | $111 | $787 | 1.0× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$133 | $656–$787 | 1.0× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines |
$133 | $431.50–$525.78 | 1.0× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$111 | $207.60–$519 | 1.0× |
| Continuing medical physics consltj pr wk (77336) | $172 | $598 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$4,041 | $7,478.22–$9,631.53 | 1.0× |
| Contrast X-Ray Bladder (74430) | $446 | $1,390.35 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $446 | $1,369.11 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $446 | $1,802.44 | 1.0× |
| Corpora cavernosography (74445) | $133 | $469 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$446 | $1,924.95–$2,622.41 | 1.0× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$305 | $1,520.89–$5,900 | 1.0× |
| CT abdomen w contrast (74160) | $224 | $2,979 | 1.0× |
| CT abdomen w wo contrast (74170) | $224 | $3,242 | 1.0× |
| CT abdomen w/o contrast (74150) | $133 | $2,628 | 1.0× |
| CT Angio Abdomen and Pelvis (74174) | $446 | $4,541.32 | 1.0× |
| CT Angio Chest (71275) | $224 | $3,400 | 1.0× |
| CT Angio Head (70496) | $224 | $3,400 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $224 | $4,879.56 | 1.0× |
| CT Angio Neck (70498) | $224 | $3,400 | 1.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $224 | $3,400 | 1.0× |
| CT cervical spine w/ contrast (72126) | $446 | $2,979 | 1.0× |
| CT cervical spine w/o contrast (72125) | $133 | $2,628 | 1.0× |
| CT cervical spine w/wo cont (72127) | $224 | $3,242 | 1.0× |
| CT chest w contrast (71260) | $224 | $2,979 | 1.0× |
| CT chest w/wo contrast (71270) | $224 | $3,242 | 1.0× |
| CT head/brain with contrast (70460) | $224 | $2,979 | 1.0× |
| CT head/brain without and with contrast (70470) | $224 | $3,242 | 1.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $446 | $1,874 | 1.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $111 | $2,200 | 1.0× |
| CT iac w contrast (70481) | $224 | $2,979 | 1.0× |
| CT l-spine w&w/o contrast (72133) | $224 | $3,242 | 1.0× |
| CT lower ext w/o (73700) | $133 | $2,628 | 1.0× |
| CT lower extremity w/contrast material (73701) | $224 | $2,979 | 1.0× |
| CT lumbar spine w contrast (72132) | $446 | $2,979 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $133 | $2,628 | 1.0× |
| CT maxillofacial w contrast (70487) | $224 | $2,979 | 1.0× |
| CT maxillofacial wo contrast (70486) | $133 | $2,628 | 1.0× |
| CT neck tissue combo (70492) | $224 | $3,242 | 1.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $224 | $3,242 | 1.0× |
| CT orbits w/o contrast (70480) | $133 | $2,628 | 1.0× |
| CT pelvis w&w/o contrast (72194) | $224 | $3,242 | 1.0× |
| CT pelvis w/o contrast (72192) | $133 | $2,628 | 1.0× |
| CT scan of leg combo (73702) | $224 | $3,242 | 1.0× |
| CT scans face/jaw combo (70488) | $224 | $2,947 | 1.0× |
| CT soft tissue neck w contrast (70491) | $224 | $2,979 | 1.0× |
| CT soft tissue neck w/o contrast (70490) | $133 | $2,628 | 1.0× |
| CT thoracic spine w contrast (72129) | $224 | $2,979 | 1.0× |
| CT thoracic spine w/o contrast (72128) | $133 | $2,628 | 1.0× |
| CT thoracic spine w/wo cont (72130) | $224 | $3,242 | 1.0× |
| CT thorax w/o contrast (71250) | $133 | $2,628 | 1.0× |
| CT upper ext wo (73200) | $133 | $2,628 | 1.0× |
| CT upper extremity w/o & w/contrast material (73202) | $224 | $3,242 | 1.0× |
| CT upper extremity with contrast (73201) | $446 | $2,708 | 1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $224 | $4,879.56 | 1.0× |
| Cta Abdomen (74175) | $224 | $3,101 | 1.0× |
| CTA pelvis (72191) | $224 | $4,879.56 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $2,499 | $4,831.50 | 1.0× |
| Diskography lumbar (72295) | $2,499 | $4,831.50 | 1.0× |
| Dxa Bone Density Axial (77080) | $133 | $559.37 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $111 | $186.36 | 1.0× |
| Echo exam uterus (76831) | $305 | $696.93 | 1.0× |
| Echograp Trans R Pros Study (76873) | $133 | $250 | 1.0× |
| Esophagram (74220) | $224 | $1,148 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $133 | $925 | 1.0× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $305 | $2,260.79 | 1.0× |
| Fluoroscopy up to 1 hr (76000) range across 6 matching MRF lines |
$305 | $306–$1,259.65 | 1.0× |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$4,041 | $2,948.91–$4,481.72 | 1.0× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$111 | $217–$544 | 1.0× |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$111 | $256–$490 | 1.0× |
| Gastric emptying imaging study (78264) | $511 | $1,375 | 1.0× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $511 | $2,749.39 | 1.0× |
| Gastric Mucosa Imaging (78261) | $511 | $1,683 | 1.0× |
| Gastroesophageal Reflux Exam (78262) | $511 | $1,683 | 1.0× |
| Gated Heart Planar Single (78472) | $511 | $2,784 | 1.0× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $694 | $3,647.84 | 1.0× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$133 | $164.80–$562.55 | 1.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $891 | $4,266.40 | 1.0× |
| Heart first pass single,planar (78481) | $694 | $1,455 | 1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,041 | $7,478.22 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,041 | $7,478.22 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $694 | $2,294.32 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,656 | $4,288.15 | 1.0× |
| Hysterosalpingogram (74740) | $305 | $696.93 | 1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $111 | $442 | 1.0× |
| Infant hip ultrasound, limited static exam (76886) | $111 | $442 | 1.0× |
| Interstitial radiation source applic complex (77778) | $891 | $9,037 | 1.0× |
| Intracavitary Radiation Source Applic Complex (77763) | $891 | $3,304 | 1.0× |
| Intracavitary Radiation Source Applic Intermed (77762) | $707 | $3,304 | 1.0× |
| Intracavitary radiation source applic simple (77761) | $707 | $3,304 | 1.0× |
| Joint Survey Single View (77077) | $133 | $337 | 1.0× |
| K Flow/Funct Image Multiple (78709) | $694 | $1,359.24 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $694 | $1,359.24 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $694 | $1,574 | 1.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $511 | $1,199 | 1.0× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$111 | $285–$714 | 1.0× |
| Leveen/Shunt Patency Exam (78291) | $511 | $2,867 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $511 | $1,767 | 1.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $511 | $1,974 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $694 | $3,117 | 1.0× |
| Lung Ventilation Imaging (78579) | $511 | $1,582.70 | 1.0× |
| Lymph System Imaging (78195) | $694 | $2,059 | 1.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,014 | $1,837.71 | 1.0× |
| Lymphangiography extremity only unilateral rs&i (75801) | $802 | $1,837.71 | 1.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $4,041 | $7,478.22 | 1.0× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $4,041 | $2,948.91 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $305 | $2,444 | 1.0× |
| Mammary ductogram or galactogram multiple (77054) | $305 | $696.93 | 1.0× |
| Mammary ductogram or galactogram single (77053) | $305 | $696.93 | 1.0× |
| Meckels Divert Exam (78290) | $511 | $1,227 | 1.0× |
| MRA head w/o contrast (70544) | $305 | $3,910 | 1.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $446 | $1,909.25 | 1.0× |
| MRA neck w/o contrast (70547) | $305 | $3,910 | 1.0× |
| MRI abdomen w contrast (74182) | $446 | $2,350 | 1.0× |
| MRI abdomen w/o contrast (74181) | $305 | $2,444 | 1.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,003 | $3,458.75 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $446 | $2,350 | 1.0× |
| MRI cervical spine w contrast (72142) | $446 | $2,703 | 1.0× |
| MRI cervical spine w/o cont (72141) | $305 | $2,444 | 1.0× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$305 | $2,156–$2,444 | 1.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $446 | $2,350 | 1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $446 | $2,444 | 1.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $305 | $2,125 | 1.0× |
| MRI lumbar spine w contrast (72149) | $446 | $2,760 | 1.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $446 | $3,036 | 1.0× |
| MRI orbit face &/neck w/o contrast (70540) | $305 | $2,444 | 1.0× |
| MRI orbit face neck w contrast (70542) | $446 | $2,703 | 1.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $446 | $2,703 | 1.0× |
| MRI pelvis w contrast (72196) | $446 | $2,444 | 1.0× |
| MRI pelvis w/o & w contrast (72197) | $446 | $2,703 | 1.0× |
| MRI pelvis w/o contrast (72195) | $305 | $2,703 | 1.0× |
| MRI thoracic spine w/o contrast (72146) | $305 | $2,444 | 1.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $305 | $2,715.90 | 1.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $446 | $2,444 | 1.0× |
| MRI, abdomen, combo (74183) | $446 | $2,350 | 1.0× |
| MRI, dorsal spine combo (72157) | $446 | $3,036 | 1.0× |
| MRI, dorsal spine contrast (72147) | $446 | $2,703 | 1.0× |
| MRI, joint upper extrem (73221) | $305 | $2,444 | 1.0× |
| MRI, joint upper extrem combo (73223) | $446 | $2,125 | 1.0× |
| MRI, lumbar spine combo (72158) | $446 | $3,036 | 1.0× |
| Myelogram cervical (72240) | $1,003 | $2,045.64 | 1.0× |
| Myelogram Lumbar (72265) | $1,003 | $2,045.64 | 1.0× |
| Myelography thoracic (72255) | $1,003 | $2,045.64 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,003 | $2,045.64 | 1.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $511 | $1,362 | 1.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,656 | $3,608.04 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $1,656 | $4,288.15 | 1.0× |
| Neck soft tissue (70360) | $111 | $572 | 1.0× |
| Nm csf leak detection (78650) | $1,656 | $3,608.04 | 1.0× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$133 | $343.38–$1,817 | 1.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,771 | $1,873 | 1.0× |
| Nuclear Rx Oral Admin (79005) | $298 | $715.44 | 1.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $133 | $544.85 | 1.0× |
| Parathyroid Planar Imaging (78070) | $511 | $1,326 | 1.0× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$133 | $228.80–$572 | 1.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,041 | $10,882.60 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $511 | $1,456 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$133 | $370.40–$926 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$111 | $247–$522 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$111 | $159–$398 | 1.0× |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$111 | $298–$572 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$133 | $407.60–$1,019 | 1.0× |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$111 | $152–$380 | 1.0× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$111 | $300–$575 | 1.0× |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$111 | $280.80–$572 | 1.0× |
| Radex lower extremity infant minimum 2 views (73592) | $111 | $423 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$111 | $285.60–$714 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) | $111 | $347.76 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$111 | $249–$623 | 1.0× |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$111 | $175.60–$680 | 1.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $224 | $491 | 1.0× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$111 | $228–$1,045 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$111 | $262–$656 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $111 | $1,019 | 1.0× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$111 | $217–$415 | 1.0× |
| Radex upper extremity infant minimum 2 views (73092) | $133 | $438.09 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$111 | $342–$656 | 1.0× |
| Radiation treatment delivery level 1 (77402) | $130 | $324 | 1.0× |
| Radiation treatment delivery level 2 (77407) | $493 | $399 | 1.0× |
| Radiation treatment delivery level 3 (77412) | $707 | $474 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $133 | $935 | 1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $133 | $730 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $224 | $1,691 | 1.0× |
| Radiologic exam colon single contrast study (74270) | $224 | $1,452 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$133 | $320.80–$802 | 1.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines |
$133 | $353–$884 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $224 | $1,348 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $224 | $562.55 | 1.0× |
| Radiologic exam teeth complete full mouth (70320) | $305 | $696.93 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $224 | $1,643 | 1.0× |
| Radiologic examination femur 1 view (73551) | $111 | $502.53 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$111 | $502.53–$656 | 1.0× |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$111 | $325–$623 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$111 | $331–$635 | 1.0× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $298 | $1,288 | 1.0× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$133 | $562.55–$647 | 1.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$511 | $1,048.32–$1,112 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $694 | $3,608.04 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$694 | $2,015–$3,608.04 | 1.0× |
| Scapula (73010) range across 3 matching MRF lines |
$133 | $262–$656 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $27 | $148.48 | 1.2× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$111 | $178.80–$447 | 1.0× |
| Shoulder Arthrography (73040) | $446 | $1,809.24 | 1.0× |
| Sialogram (70390) | $305 | $696.93 | 1.0× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$133 | $278.40–$696 | 1.0× |
| Special dosimetry (77331) | $172 | $708 | 1.0× |
| Special Physics Consult (77370) | $172 | $940 | 1.0× |
| Special teletherapy port plan (77321) | $479 | $886 | 1.0× |
| Special treatment procedure (77470) | $707 | $2,700 | 1.0× |
| Speech evaluation, complex (70371) | $305 | $1,019 | 1.0× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$111 | $325–$714 | 1.0× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $130 | $432 | 1.0× |
| Testicular Imaging W/Flow (78761) | $511 | $1,798.25 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $479 | $1,045 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $479 | $880 | 1.0× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$172 | $567.60–$670 | 1.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $224 | $1,707 | 1.0× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$133 | $115–$562.55 | 1.0× |
| Thoracic spine 3 views (72072) range across 5 matching MRF lines |
$133 | $296.80–$742 | 1.0× |
| Thoracolumbar 2 views (72080) range across 5 matching MRF lines |
$111 | $255–$656 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $511 | $1,048.32 | 1.0× |
| Thyroid Met Imaging Body (78018) | $694 | $1,477 | 1.0× |
| Thyroid Uptake Measurement (78012) | $511 | $1,048.32 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $511 | $1,059.32 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $479 | $1,061 | 1.0× |
| Tx devices design & construction intermediate (77333) | $172 | $734 | 1.0× |
| Tx devices design & construction simple (77332) | $172 | $392 | 1.0× |
| Ultrasound Breast Limited (76642) | $111 | $752.85 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$133 | $619–$1,100 | 1.0× |
| Unlis px ther radiol clinical tx planning (77299) | $172 | $1,502 | 1.0× |
| Unlisted Dx Radiographic Procedure (76499) | $111 | $647 | 1.0× |
| Unlisted us procedure (76999) | $111 | $491.96 | 1.0× |
| Upper gi w/o kub (74240) | $224 | $892.75 | 1.0× |
| Urethrocystogram voiding (74455) | $305 | $1,152.80 | 1.0× |
| Urethrocystography retrograde (74450) | $305 | $696.93 | 1.0× |
| Us breast unilateral complete (76641) | $133 | $752.85 | 1.0× |
| Us chest (76604) range across 2 matching MRF lines |
$133 | $580–$1,100 | 1.0× |
| Us complete joint (76881) range across 4 matching MRF lines |
$133 | $343.38–$755.37 | 1.0× |
| Us exam, pelvic, limited (76857) | $133 | $748 | 1.0× |
| Us head (76506) | $133 | $1,100 | 1.0× |
| Us kidney transplant (76776) | $133 | $1,305 | 1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$133 | $488.39–$544.85 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $133 | $344 | 1.0× |
| Us ob transvaginal (76817) | $133 | $419 | 1.0× |
| Us pelvic non ob complete (76856) | $133 | $1,301 | 1.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $133 | $475 | 1.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $133 | $748 | 1.0× |
| Us retroperitoneal complete (76770) | $133 | $1,301 | 1.0× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$133 | $544.85–$925 | 1.0× |
| Us scrotum and contents (76870) | $133 | $930 | 1.0× |
| Us spinal canal and contents (76800) | $133 | $442 | 1.0× |
| Us thyroid (76536) | $133 | $957 | 1.0× |
| Us transrectal (76872) | $133 | $1,301 | 1.0× |
| Vascular Flow Imaging (78445) | $511 | $1,552 | 1.0× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$2,014 | $3,100.05–$7,030.70 | 1.0× |
| Vein X-Ray Spleen/Liver (75810) | $4,041 | $3,440 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $4,041 | $8,705.60 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $2,014 | $3,849.45 | 1.0× |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$2,014 | $1,837.71–$3,100.05 | 1.0× |
| Venography Renal Bilateral (75833) | $4,041 | $7,478.22 | 1.0× |
| Venography Renal Unilateral (75831) | $4,041 | $7,478.22 | 1.0× |
| Venous sampling by catheter (75893) | $7,121 | $12,794.90 | 1.0× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$111 | $228–$572 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$111 | $325–$799 | 1.0× |
| X-ray antegrade pyelogram tube (74425) | $446 | $758.22 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$4,041 | $7,478.22–$9,818.61 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$133 | $337–$843 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$111 | $207–$519 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $699 | $176 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $133 | $1,111 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$111 | $461–$502.23 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$111 | $700–$722 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $133 | $832.23 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$133 | $832.23–$836 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $133 | $832.23 | 1.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $133 | $1,586.62 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$133 | $623.60–$1,559 | 1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$111 | $300–$575 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$133 | $379–$949 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$133 | $296.80–$803 | 1.0× |
| X-ray eye for foreign body (70030) | $111 | $297 | 1.0× |
| X-ray head for orthodontia (70350) | $111 | $572 | 1.0× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$111 | $311–$596 | 1.0× |
| X-ray IV pyelogram (ivp) (74400) | $224 | $1,348 | 1.0× |
| X-ray IV pyelogram+tomography (74415) | $224 | $1,950 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $111 | $474 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$111 | $194–$371 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$133 | $373–$714 | 1.0× |
| X-ray nose-rectum child f.b. (76010) | $111 | $376 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$133 | $320.80–$950 | 1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$133 | $288–$722 | 1.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$133 | $370–$572 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$111 | $288.80–$722 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$111 | $331.20–$828 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$133 | $486.80–$1,217 | 1.0× |
| X-ray thoracic spine 4 vw (72074) range across 4 matching MRF lines |
$133 | $554–$1,061 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $446 | $1,898.63 | 1.0× |
| X-Rays Bone Length Studies (77073) | $133 | $419.99 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $133 | $1,395 | 1.0× |
| Xr c-spine 4 or 5 views (72050) range across 5 matching MRF lines |
$133 | $446.80–$1,117 | 1.0× |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$111 | $356.80–$892 | 1.0× |
| Xr orbits complete 4 views (70200) | $133 | $468 | 1.0× |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$133 | $540–$2,352 | 1.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.